This is a study in adults with advanced solid tumors including non-small cell lung cancer. The study tests the combination of two medicines called BI 754111 and BI 754091 that may help the immune system to fight the cancer. Such medicines are called immune checkpoint inhibitors. The study has two parts. In the first part, doctors want to find out the highest dose of 2 medicines that people with solid tumors can tolerate. This dose is then used for the second part of the study. In the second part, the combination of the two medicines is tested in patients with non-small cell lung cancer and other types of solid cancer. These patients had gotten treatment with anti-PD-1 or anti-PD-L1 medicines but their tumors have come back. The doctors check whether the combination of BI 754111 and BI 754091 makes tumors shrink. Both medicines are given as an infusion into the vein every 3 weeks. If there is benefit for the patients and if they can tolerate it, the treatment is given for maximum of 1 year. During the entire study doctors will regularly check the health of the patients.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
172
240 mg ezabenlimab given as an intravenous infusion on day 1 of 21-day cycles (q3w)
Different dosages of BI 754111 given as an intravenous infusion on day 1 of 21-day cycles (q3w).
University of Miami
Miami, Florida, United States
Florida Cancer Specialists
Sarasota, Florida, United States
John Theurer Cancer Center
Hackensack, New Jersey, United States
Stephenson Cancer Center
Oklahoma City, Oklahoma, United States
Tennessee Oncology, PLLC
Nashville, Tennessee, United States
Froedtert and The Medical College of Wisconsin
Milwaukee, Wisconsin, United States
Cross Cancer Institute (University of Alberta)
Edmonton, Alberta, Canada
Princess Margaret Cancer Centre
Toronto, Ontario, Canada
BioVirtus Research Site Sp. z o.o.
Józefów, Poland
Oncology Center-Maria Sklodowska-Curie Institute
Warsaw, Poland
...and 5 more locations
Dose Escalation: Maximum-tolerated Dose (MTD) of the BI 754111 Plus Ezabenlimab Combination
The MTD is defined as the highest dose with less than 25% risk of the true Dose-limiting toxicity (DLT) rate being above 33%. DLTs include: Haematologic toxicities: * Any Grade 5 toxicity * Neutropenia ≥ Grade 4 for \>5 days * Any duration febrile neutropenia * Grade 4 thrombocytopenia or Grade 3 with bleeding/platelet transfusion need * Unexplained Grade 4 anaemia. Non-haematological toxicities: * Aspartate aminotransferase (AST) or Alanine aminotransferase (ALT) \>3x Upper limit of normal (ULN) and total bilirubin \>2x ULN without cholestasis signs * ≥Grade 4 AST or ALT of any duration * Any ≥Grade 3 non-haematologic toxicity with exceptions * Any Grade 4 or 5 adverse event (AE) * Any Grade 2 pneumonitis * Any Grade 2 uveitis, eye pain, or blurred vision not improving to Grade 1 within 2 weeks or requiring systemic treatment * Any ≥ Grade 2 toxicity causing inability to administer BI 754091 on Cycle 2 Day 1.
Time frame: First treatment cycle, the first 21 days following the start of trial medication.
Dose Escalation: Number of Patients Experiencing DLTs During the Combination MTD Evaluation Period
Number of patients experiencing DLTs during the combination MTD evaluation period (first cycle of BI 754111 plus ezabenlimab combination therapy) in patients with solid tumours.
Time frame: First treatment cycle, the first 21 days following the start of trial medication.
Dose Expansion: Number of Patients With Objective Response (OR) - Confirmed Complete Response (CR) and Partial Response (PR)
Dose expansion: Number of patients with objective response (OR) - confirmed complete response (CR) and partial response (PR) according to Response Evaluation Criteria in Solid Tumours (RECIST) Version 1.1 as assessed by the Investigator during the entire treatment. Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 millimeter. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Time frame: From the date of the first administration of trial treatment until the date of the last administration of trial treatment + 30 days (residual effect period), up to 818 days.
Dose Escalation: Number of Patients With Objective Response (OR) - Confirmed Complete Response (CR) and Partial Response (PR)
Dose escalation: Number of patients with objective response (OR) - confirmed complete response (CR) and partial response (PR) according to RECIST Version 1.1 as assessed by the Investigator during the entire treatment. Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 millimeter. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Time frame: From the date of the first administration of trial treatment until the date of the last administration of trial treatment + 30 days (residual effect period), up to 1286 days.
Dose Escalation: Number of Patients Experiencing DLTs
Dose escalation: Number of patients experiencing DLTs from start of treatment until end of treatment (in all cycles).
Time frame: From the date of the first administration of trial treatment until the date of the last administration of trial treatment + 30 days (residual effect period), up to 1286 days.
Dose Expansion: Duration of Response
Duration of response is measured from the time measurements criteria are met for CR/PR (whichever is first recorded) until the first date that recurrent or progressive disease (PD) is objectively documented (taking as reference for PD the smallest measurements recorded since the treatment started).
Time frame: From the date of objective response until first date that recurrent or PD has been documented, up to 100 weeks.
Dose Expansion: Percentage of Patients With Disease Control
Dose expansion: Percentage of patients with disease control (CR, PR, or stable disease (SD) according to RECIST Version 1.1) as assessed by the Investigator.
Time frame: From the date of the first administration of trial treatment until the date of the last administration of trial treatment + 30 days (residual effect period), up to 818 days.
Dose Expansion: Progression-free Survival (PFS)
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Dose expansion: Progression-free survival (PFS) is defined as time from first drug intake until disease progression or death from any cause, whichever occurs earlier. The date of progression will be based on the Investigator assessment according to RECIST 1.1. For patients with 'event' as an outcome for PFS: • PFS \[days\] = date of outcome - date of start of treatment + 1 For patients with 'censored' as an outcome for PFS: • PFS (censored) \[days\] = date of outcome - date of start of treatment + 1 Days were converted into months for reporting.
Time frame: From the date of the first administration of trial treatment until the date of the last administration of trial treatment + 30 days (residual effect period), up to 818 days.
Dose Expansion: Number of Patients Experiencing DLTs
Dose expansion: Number of patients experiencing DLTs from start of treatment until end of treatment.
Time frame: From the date of the first administration of trial treatment until the date of the last administration of trial treatment + 30 days (residual effect period), up to 818 days.
Dose Escalation: AUC0-504: Area Under the Concentration-time Curve of Ezabenlimab in Plasma Over the Time Interval From 0 to 504 Hours
Dose escalation: AUC0-504: area under the concentration-time curve of ezabenlimab in plasma over the time interval from 0 to 504 hours.
Time frame: Within 1 hour before and 1, 4, 7, 24, 72, 168, 336 and 504 hours following the start of infusion in the first treatment cycle.
Dose Escalation: AUC0-504 Steady State: Area Under the Concentration-time Curve of Ezabenlimab in Plasma Over the Time Interval From 0 to 504 Hours
Dose escalation: AUC0-504 steady state: area under the concentration-time curve of ezabenlimab in plasma over the time interval from 0 to 504 hours at steady state.
Time frame: Within 1 hour before and 1, 4, 7, 24, 72, 168, 336 and 504 hours following the start of infusion in the fourth treatment cycle.
Dose Escalation: AUC0-504: Area Under the Concentration-time Curve of BI 754111 in Plasma Over the Time Interval From 0 to 504 Hours
Dose escalation: AUC0-504: area under the concentration-time curve of BI 754111 in plasma over the time interval from 0 to 504 hours.
Time frame: Within 1 hour before and 1, 4, 7, 24, 72, 168, 336 and 504 hours following the start of infusion in the first treatment cycle.
Dose Escalation: AUC0-504 Steady State: Area Under the Concentration-time Curve of BI 754111 in Plasma Over the Time Interval From 0 to 504 Hours
Dose escalation: AUC0-504 steady state: area under the concentration-time curve of BI 754111 in plasma over the time interval from 0 to 504 hours at steady state.
Time frame: Within 1 hour before and 1, 4, 7, 24, 72, 168, 336 and 504 hours following the start of infusion in the fourth treatment cycle.
Dose Escalation: Cmax: Maximum Measured Concentration of Ezabenlimab in Plasma Over the Time Interval From 0 to 504 Hours
Dose escalation: Cmax: maximum measured concentration of ezabenlimab in plasma over the time interval from 0 to 504 hours.
Time frame: Within 1 hour before and 1, 4, 7, 24, 72, 168, 336 and 504 hours following the start of infusion in the first treatment cycle.
Dose Escalation: Cmax Steady State: Maximum Measured Concentration of Ezabenlimab in Plasma Over the Time Interval From 0 to 504 Hours
Dose escalation: Cmax steady state: maximum measured concentration of ezabenlimab in plasma over the time interval from 0 to 504 hours at steady state.
Time frame: Within 1 hour before and 1, 4, 7, 24, 72, 168, 336 and 504 hours following the start of infusion in the fourth treatment cycle.
Dose Escalation: Cmax: Maximum Measured Concentration of BI 754111 in Plasma Over the Time Interval From 0 to 504 Hours
Dose escalation: Cmax: maximum measured concentration of BI 754111 in plasma over the time interval from 0 to 504 hours.
Time frame: Within 1 hour before and 1, 4, 7, 24, 72, 168, 336 and 504 hours following the start of infusion in the first treatment cycle.
Dose Escalation: Cmax Steady State: Maximum Measured Concentration of BI 754111 in Plasma Over the Time Interval From 0 to 504 Hours
Dose escalation: Cmax steady state: maximum measured concentration of BI 754111 in plasma over the time interval from 0 to 504 hours at steady state.
Time frame: Within 1 hour before and 1, 4, 7, 24, 72, 168, 336 and 504 hours following the start of infusion in the fourth treatment cycle.